Organization Active NPI

Ijaconsultants PLLC

  • Internal Medicine Physician
  • South Miami, FL
National Provider Identifier
1003150053
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME44376 Issued in FL
Legal business name
IJACONSULTANTS PLLC
Practice address
6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419
Phone
(954) 476-7933
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ira Joel Agatstein, M.D.
Title
Ceo
Phone
(954) 648-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME44376 FL Primary

Addresses

Primary practice location

6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419

Mailing address

6140 SW 70TH St
Second Floor
South Miami, FL 33143-3419
Phone (954) 476-7933

National Provider Directory

National Provider Directory

Locations

6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1003150053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "954-476-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW 70TH ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433419",
            "telephone_number": "954-476-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJACONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "AGATSTEIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-648-4148",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.